The paper has its uses in enlightening a minority of global actors about something that many of India's people, policymakers and researchers know and experience intimately. It typifies the chasm between formal academic research and common knowledge. Bridging that is necessary, so the paper is useful. But the more important conversations are the ones that have moved beyond acknowledging poor quality of practices, to exploring how to holistically strengthen the governance of health care practice. The authors' statement of policy recommendations - including more research, better education, performance incentives - is non-specific, innocent of the intricate political economies of health research, medical education and performance incentives in India, and hence unfortunately of limited real-world utility. The ethics of the method are worth scrutinising. 'Ethics' is mentioned once in the paper - as a limitation.